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CCN AMERICA, LP
RWI33071 COMMUNITY RIGHTFUL CENTER
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Covered Entity Details
Entity Name
COMMUNITY RIGHTFUL CENTER
Subdivision Name
Type
Ryan White Part A
340B ID
RWI33071
Entity Address
1801 N. UNIVERSITY DRIVE
210
CAROL SPRING, FL 33071
Grant Number
H89HA00002
Participating Start Date
10/1/2021
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
CCN AMERICA, LP
Pharmacy Address
COORDINATED CARE NETWORK PHARMACY
1500 W CYPRESS CREEK RD STE 203
FT LAUDERDALE, FL 33309
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roseline Lous XVI, CEO/ director
(305) 754-5701
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
10/15/2021
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